749 Golf View Drive, Suite B, Medford, OR 97504 Phone: (541) 773-8255 Fax: (541) 773-8256
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How Do I Know If My Child Is Reaching the Milestones?
Here is a checklist that you can follow to determine if your child's speech and language skills are developing on schedule. You should talk to your child's doctor about anything that is checked "no."
Birth to 5 months
Reacts to loud sounds. Turns head toward a sound source. Watches your face when you speak. Vocalizes pleasure and displeasure sounds (laughs, giggles, cries, or fusses). Makes noise when talked to.
Yes No ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
6 - 11 months
Understands "no-no". Babbles (says "ba-ba-ba" or "ma-ma-ma"). Tries to communicate by actions or gestures. Tries to repeat your sounds. ___ ___ ___ ___ ___ ___ ___ ___
12 - 17 months
Attends to a book or toy for about two minutes. Follows simple directions accompanied by gestures. Answers simple questions nonverbally. Points to objects, pictures, and family members. ___ ___ ___ ___ ___ ___ ___ ___
Says two to three words to label a person or object (pronunciation may ___ ___ not be clear).
*National Institute on Deafness and Other Communication Disorders
– One of the National Institutes of Health
749 Golf View Drive, Suite B, Medford, OR 97504 Phone: (541) 773-8255 Fax: (541) 773-8256
We Offer Free Screenings!
18 - 23 months
Enjoys being read to. Follows simple commands without gestures. Points to simple body parts such as "nose." Understands simple verbs such as "eat," "sleep." Correctly pronounces most vowels and n, m, p, h, especially in the beginning of syllables and short words. Also begins to use other speech sounds. Says 8 to 10 words (pronunciation may still be unclear). Asks for common foods by name. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
2 - 3 years
Knows about 50 words at 24 months. Knows some spatial concepts such as "in," "on." Knows pronouns such as "you," "me," "her." Knows descriptive words such as "big," "happy." Says around 40 words at 24 months. Speech is becoming more accurate but may still leave off ending sounds. Strangers may not be able to understand much of what is said. Answers simple questions. Begins to use more pronouns such as "you," "I." Speaks in two to three word phrases. Uses question inflection to ask for something (e.g., "My ball?"). Begins to use plurals such as "shoes" or "socks" and regular past tense verbs such as "jumped." ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
*National Institute on Deafness and Other Communication Disorders
– One of the National Institutes of Health
749 Golf View Drive, Suite B, Medford, OR 97504 Phone: (541) 773-8255 Fax: (541) 773-8256
We Offer Free Screenings!
3 - 4 years Groups objects such as foods, clothes, etc. Identifies colors. ___ ___ ___ ___
Uses most speech sounds but may distort some of the more difficult sounds such as l, r, s, sh, ch, y, v, z, th. These sounds may not be fully mastered until ___ ___ age 7 or 8. Uses consonants in the beginning, middle, and ends of words. Some of the more difficult consonants may be distorted, but attempts to say them. Strangers are able to understand much of what is said. Able to describe the use of objects such as "fork," "car," etc. Has fun with language. Enjoys poems and recognizes language absurdities such as, "Is that an elephant on your head?" Expresses ideas and feelings rather than just talking about the world around him or her. Uses verbs that end in "ing," such as "walking," "talking." Answers simple questions such as "What do you do when you are hungry?" Repeats sentences. 4 - 5 years Understands spatial concepts such as "behind," "next to." Understands complex questions. Speech is understandable but makes mistakes pronouncing long, difficult, or complex words such as "hippopotamus." Says about 200 - 300 different words. Uses some irregular past tense verbs such as "ran," "fell." Describes how to do things such as painting a picture. Defines words. Lists items that belong in a category such as animals, vehicles, etc. Answers "why" questions. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
*National Institute on Deafness and Other Communication Disorders
– One of the National Institutes of Health
749 Golf View Drive, Suite B, Medford, OR 97504 Phone: (541) 773-8255 Fax: (541) 773-8256
We Offer Free Screenings!
5 years
Understands more than 2,000 words. ___ ___ Understands time sequences (what happened first, second, third, etc.). ___ ___ Carries out a series of three directions. Understands rhyming. Engages in conversation. Sentences can be 8 or more words in length. Uses compound and complex sentences. Describes objects. Uses imagination to create stories. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
*National Institute on Deafness and Other Communication Disorders
– One of the National Institutes of Health
749 Golf View Drive, Suite B, Medford, OR 97504 Phone: (541) 773-8255 Fax: (541) 773-8256
We Offer Free Screenings!
What should I do if my child's speech or language appears to be delayed?
You should talk to a speech-language pathologist if you have concerns about your child's speech or language development. A speech-language pathologist is a health professional trained to evaluate and treat people who have speech; language; voice or swallowing disorders (including hearing impairment) that affect their ability to communicate. The above checklist should help you talk about your concerns. The speech-language pathologist will talk to you about your child's communication and general development. He or she will also evaluate your child with speech and language tests. A hearing test is often included in the evaluation because a hearing problem can affect speech and language development. Depending upon the test results, the speech-language pathologist may suggest activities for home to stimulate speech and language development. These activities may include reading to your child regularly; speaking in short sentences using simple words so that your child can successfully imitate you; or repeating what your child says, using correct grammar or pronunciation. The speech-language pathologist may also recommend group or individual therapy or suggest further evaluation by other health professionals such as an audiologist, developmental psychologist or physician. The Speech Center, Inc. of Southern Oregon currently offers free screenings. If you have concerns about your child’s or your own speech, language, voice or swallowing, please contact The Speech Center today to schedule a free screening.
*National Institute on Deafness and Other Communication Disorders
– One of the National Institutes of Health